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Before the ACA, the Democrats were calling for single payer, not quite M4A but much better than what we got. The ACA was modeled on the Republicans healthcare reform package. Since then the Democrats have been defending the signature plan of Obama even though it is literally the plan their opposition created. Of course, Republicans don't have a plan and many people voting today don't remember what it was like in the 00's where insurers would just dump people when they got sick or jack their rates up so high it wouldn't be affordable.
The weird thing is that when I first joined the workforce in the 90s insurance was actually better than it is today and less expensive.
The same Dems who were calling for single payer before the ACA are still calling for single payer.
Things were way better before the GOP fucked things up in 2003 when they created "high deductable health plans" which very predictably jack up EVERYBODY's deductables sky high.
You see that here in the thread. I think a lot of people forgot how bad it was and lack imagination for how bad things can get.
I think we're all about to get a reminder over the next 4 years. Boy, I hope elections function at the end of it.